A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?
Check the client's distal pulses in both legs.
Keep the client overnight.
Keep the client on bed rest for 12 hr.
Restrict the client's oral fluids.
The Correct Answer is A
A. Check the client's distal pulses in both legs:
Checking the client's distal pulses in both legs is crucial to ensure that there is adequate blood flow and no signs of arterial occlusion or complications from the catheterization. This is an important assessment to detect potential vascular complications, such as a hematoma or an arterial blockage.
B. Keep the client overnight:
Keeping the client overnight is not typically required for all cardiac catheterization procedures. The need for an overnight stay depends on the individual case and any complications or comorbidities. Routine catheterizations often allow for discharge on the same day with appropriate monitoring.
C. Keep the client on bed rest for 12 hr:
Keeping the client on bed rest for 12 hours is excessive. Typically, bed rest is required for 2 to 6 hours following the procedure to allow the puncture site to stabilize and reduce the risk of bleeding. The exact duration of bed rest depends on the approach used and the patient's condition.
D. Restrict the client's oral fluids:
Restricting the client's oral fluids is generally not appropriate. In fact, increasing fluid intake is often encouraged to help flush out the contrast dye used during the procedure and to prevent renal complications. Monitoring for fluid balance is important, but outright restriction is not typically indicated unless there is a specific medical reason.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Eggs: While eggs are a good source of protein and other nutrients, they are also high in cholesterol. Therefore, they should be consumed in moderation on a low-cholesterol diet.
B. Liver: Liver is high in cholesterol and should be limited on a low-cholesterol diet. While it is rich in iron and other nutrients, there are other sources of these nutrients that are lower in cholesterol.
C. Beans: This is correct. Beans are a great choice for a low-cholesterol diet. They are high in soluble fiber, which can help lower cholesterol levels. They are also a good source of protein and are low in fat.
D. Milk: While milk is a good source of calcium and other nutrients, it can also be high in cholesterol, especially if it’s whole or 2% milk. On a low-cholesterol diet, it’s better to choose low-fat or non-fat dairy products
Correct Answer is D
Explanation
A. Abuse:
Abuse typically involves intentional harm or mistreatment of another person. In this scenario, the nurse's error was inadvertent, not intentional, so it does not constitute abuse.
B. Battery:
Battery involves intentional harmful or offensive contact with another person without their consent. The inadvertent medication error in this scenario does not involve intentional contact or harm, so it does not constitute battery.
C. Assault:
Assault involves intentionally threatening or causing fear of immediate harm or offensive contact with another person. The inadvertent medication error, while resulting in harm, was not intentional or intended to cause fear, so it does not constitute assault.
D. Malpractice:
Malpractice refers to professional negligence or failure to adhere to the standard of care expected in one's professional duties, resulting in harm to a patient. In this scenario, the nurse's inadvertent medication error constitutes malpractice because it involved a breach of the standard of care expected in medication administration, resulting in harm to the client.
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